修改的四方步骤测试 (mFSST) 的有效性和可靠性在结性脊柱炎患者中
Serbay Sekeroz1, Meryem Buke2, Server Ilter3
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Van Yuzuncu Yil University, Van, Turkey.
Clinical rheumatology
|February 12, 2026
概括
修改后的四方步骤测试 (mFSST) 可靠地测量了结性脊髓炎 (AS) 患者的动态平衡. 这种简短的,无设备的测试与其他功能性措施相对应,有助于临床评估和监测.
科学领域:
- 康复医学 康复医学 康复医学
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
背景情况:
- 结性脊柱炎 (AS) 显著影响患者的动态平衡和功能移动性.
- 客观评估工具对于评估平衡赤字和指导AS的康复至关重要.
- 修改后的四方步骤测试 (mFSST) 是评估动态平衡的潜在工具.
研究的目的:
- 评估mFSST在AS患者的测试-重新测试可靠性.
- 评估mFSST与AS.中已建立的功能测试和疾病指数的并发有效性.
主要方法:
- 48名AS参与者在同一天接受了两次mFSST管理,休息1小时.
- 同时有效性使用定时起飞 (TUG),五次坐立 (5xSTS),功能范围 (FR),BASDAI和BASFI进行了检查.
- 统计分析包括ICC,SEM,MDC95,布兰德-阿尔特曼图表和斯皮尔曼相关性.
主要成果:
- 该mFSST表现出卓越的测试-重试可靠性 (ICC = 0.952),可检测的最小变化 (MDC95) 为1.17秒.
- 在mFSST和TUG (r=0.771),5xSTS (r=0.473) 和BASDAI/BASFI (r≈0.5-0.68) 之间发现了强烈的相关性.
- 没有观察到与功能范围测试 (p > 0.05) 有意义的关联.
结论:
- mFSST是一种可靠和有效的工具,用于评估AS患者的动态平衡.
- 它的易用性,最小的设备要求和可解释的指标支持临床集成.
- MDC95为跟踪AS患者康复的有意义改善提供了一个基准.
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